HomeMy WebLinkAboutNEUWORKS MECHANICAL INC - INSURANCE CERTIFICATE (6)AIR" CERTIFICATE OF LIABILITY INSURANCE
-DATE5/25/2018 Y)
OS/25l2018
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policyll must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
CONTACT Jennifer Winter, CISR
NAME:
Flood and Peterson
PAHONNo Ext : (970) 506-3206 Farc No): (970) 506-6846
E-MAIL JWinter@floodpeterson.com
ADDRESS:
PO Box 578
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURERA: Union Insurance Company of Providence
21423
Greeley CO 80632
INSURED
INSURER B : EMCASCO Insurance Company
21407
INSURER C : Employers Mutual Casualty Company
21415
Neuworks Mechanical, Inc.
INSURER D : Pinnacol Assurance
41190
241 Racquette Drive
INSURER E :
INSURER F
Fort Collins CO 80524
COVERAGES CERTIFICATE NUMBER: CL1852523436 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ILTR
TYPE OF INSURANCE
INSD
WVD
POLICY NUMBER
MMIDD/YYYY
MM/DDIYYYY
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE � OCCUR
DAMAGE TO RENTrff
PREMISES Ea occurrence
$ 500,000
X
MED EXP (Any one person)
$ 10,000
PD Ded:1,000
PERSONAL & ADV INJURY
$ 1,000,000
A
5D8758719
06/01/2018
06/01/2019
GEN'LAGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
POLICY ❑X JEo LOC
PRODUCTS -COMPlOPAGG
$ 2,000,000
$
OTHER.
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
BODILY INJURY (Per person)
$
X ANY AUTO
B
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
X AUTOS ONLY X AUTOS ONLY
5EB758719
06/01/2018
06/01/2019
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
'Per accident
$
$
X DOC
X
UMBRELLA LIAB
X
OCCUR
EACH OCCURRENCE
$ 5,000,000
C
EXCESS LIAB
CLAIMS -MADE
5J8758719
06/01/2018
06/01/2019
AGGREGATE
$ 5,000,000
DED X RETENTION $ 0
$
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PRO PRIETORIPARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
/ A
4167336
06/01/2018
06/01/2019
X STATERUTE EORH
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
1,000,000
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
1,000,000
$
If yes, describe under
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: Contractors License #MP-724
CFRTIFICATF_ HOt_DFR CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Fort Collins
ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 580
AUTHORIZED REPRESENTATIVE
Fort Collins CO 80526
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ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD